For what it's worth, CBT was hugely helpful for me. I read The Feeling Good Handbook (kind of the CBT bible, a new edition of Feeling Good). CBT is definitely a tool that you want on your tool belt if you're struggling with anxiety/depression. It may not be the be all end all, but I like that it puts control and responsibility into the person's hands, namely the thesis that thoughts precede emotion. It's helped me reframe my mind to give me more control over what I think and feel, to separate the true reality of life ("that person and I didn't talk for long", "I haven't heard from a friend in 24 hours", "I'm not currently doing anything on this saturday night") from the normative, subjective spins your mind can put on reality ("that person didn't like me", "I have no friends", "I'm a loser with nothing to do").
There's definitely a discussion about whether CBT should always be the therapy of choice. Personally, I think you need to be at the right spot for CBT to be effective. For me, I was a functional person who could somewhat identify what I didn't like about my mental state and was very open to trying to improve. I'm guessing CBT is probably not as effective if you're experiencing severe mental health problems or breaks in reality, or if you have milder symptoms but don't want help/change. Sometimes when I'm really down, CBT essentially feels like "you're sad because you're too stupid to be happy!" At the same time, I imagine every therapy works better if a person is at an okay spot and open to change. And CBT can probably help people all over the spectrum to various degrees.
If you're experiencing mental health problems, give The Feeling Good Handbook a try! It's a large workbook where you read and work through written exercises. Very helpful to me so I try to evangelize it when I can (and give out copies to people I know who struggle). I never tried in person therapy but that'd also be immensely helpful too. The great thing about CBT is how simple it is though, so reading a book (aka bibliotherapy) for a self-motivated patient can do the trick. Indeed, he spends the first chapter reviewing studies that claim bibliotherapy is just as successful as in person therapy. (Not sure what I think of that... I imagine book readers are more self-motivated than the average in-person patient but they were experimental studies so I'm sure that's already controlled for... nevertheless, bibliotherapy was good for me.
About me: I lost my dad in high school, my mom in college, and my sister to suicide after graduating. Pair that with an interesting childhood (alcoholic mom, bipolar sister) albeit a financially comfortable childhood. It was (and still can be) an incredibly hard stretch of time. At the same time, I was exceptionally gifted at school and really looked up to my teachers so I was and am very lucky and traditionally successful. If you're struggling, get help! Take responsibility! Your mind CAN change in small but subtle ways in how you frame your life and the daily happenings of it.
> I'm guessing CBT is probably not as effective if you're experiencing severe mental health problems
I'm bipolar. CBT is ineffective for problems that aren't resulting from bad thoughts. But it just as important as medication for my treatment plan.
CBT is absolutely critical to maintaining stability when I am rational. Stopping bad thoughts before they get time to spiral out of control significantly reduces the severity of my symptoms.
While CBT can't fight irrational thoughts resulting from my mood swings, it's taught me what I can and can't change. As a result, I know when to switch to a different coping skill to get through a bad day.
As far as in-person therapy goes, a therapist is a guide. They can point you in the right direction and provide a different perspective.
Sometimes people point to the English IAPT scheme (which offers mainly CBT) as evidence of lack of effectiveness of CBT for depression. They say that it only works for about 60% of the people who try it.
IAPT has 4 tiers. The higher tiers are delivered face to face, one to one, with an experienced therapist, and you get up to 16 weeks of therapy. The lower tiers might be group work, or telephone based, or maybe even delivered over computer. If you have a therapist they may be less experienced. And you get 5 weeks of therapy. But the results of all these tiers are mashed together.
There's definitely a discussion about whether CBT should always be the therapy of choice. Personally, I think you need to be at the right spot for CBT to be effective. For me, I was a functional person who could somewhat identify what I didn't like about my mental state and was very open to trying to improve. I'm guessing CBT is probably not as effective if you're experiencing severe mental health problems or breaks in reality, or if you have milder symptoms but don't want help/change. Sometimes when I'm really down, CBT essentially feels like "you're sad because you're too stupid to be happy!" At the same time, I imagine every therapy works better if a person is at an okay spot and open to change. And CBT can probably help people all over the spectrum to various degrees.
If you're experiencing mental health problems, give The Feeling Good Handbook a try! It's a large workbook where you read and work through written exercises. Very helpful to me so I try to evangelize it when I can (and give out copies to people I know who struggle). I never tried in person therapy but that'd also be immensely helpful too. The great thing about CBT is how simple it is though, so reading a book (aka bibliotherapy) for a self-motivated patient can do the trick. Indeed, he spends the first chapter reviewing studies that claim bibliotherapy is just as successful as in person therapy. (Not sure what I think of that... I imagine book readers are more self-motivated than the average in-person patient but they were experimental studies so I'm sure that's already controlled for... nevertheless, bibliotherapy was good for me.
About me: I lost my dad in high school, my mom in college, and my sister to suicide after graduating. Pair that with an interesting childhood (alcoholic mom, bipolar sister) albeit a financially comfortable childhood. It was (and still can be) an incredibly hard stretch of time. At the same time, I was exceptionally gifted at school and really looked up to my teachers so I was and am very lucky and traditionally successful. If you're struggling, get help! Take responsibility! Your mind CAN change in small but subtle ways in how you frame your life and the daily happenings of it.